Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | OH |
NPI | 1043650997 |
---|---|
Provider Name | Kathryn Maistros |
First Address | Cleveland, OH 44102-5443 |
Second Address | Cleveland, OH 44102-5443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2013 |
Last Update Date | 25/06/2013 |